tci General Surgery Coding Alert - 2010 Issue 1

READER QUESTIONS : Focus on Total Work for Shared Visit

Question: When our surgeon splits an inpatient visit with a non-physician practitioner (NPP) for a Medicare beneficiary, how should we report the service now that we can't use the consult codes? Florida Subscriber Answer: You should report the encounter with the appropriate hospital care code (such as 99231-99233, Subsequent hospital care...). You can now ignore one requirement of a shared/split inpatient visit thanks to Medicare's invalidation of the consult codes. Even if the physician does not duplicate the key components that the NPP performed, you can count all medically necessary history, examination, and medical decision making that the...

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